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Journal of the Association of American Medical Colleges: April 1990

AbstractThe core of good doctoring—what everyone must learn in medical school—is a set of behaviors that link the physician's professional, scholarly, and personal preparation with patients and society. Five general criticisms concern the academic medicine community. These criticisms concern the complexity of the health care system; the difficulty of integrating advances in science and technology into medicine; ethics; the doctor-patient relationship; and the importance of the individual student. Several medical schools use innovative curricula and organization in responding to these concerns, and other schools should study the assessments of these efforts and borrow anything useful. The problems of cost, access, and quality of care in the U.S. system are not primarily the fault of academic medicine and cannot be solved readily by it, but medical education can contribute to the solutions by preparing students to engage the problems. Acad. Med. 65(1990):221–226.

This paper was presented as a plenary session address at the 100th Annual Meeting of the Association of American Medical Colleges, Washington, D.C., October 1989.

Dr. Federman is dean for medical education and professor of medicine, Harvard Medical School, Boston, Massachusetts.

Correspondence and requests for reprints should be addressed to Dr. Federman, Dean for Medical Education, Harvard Medical School, 25 Shattuck St., Boston, MA 02115.

© 1990 by the Association of American Medical Colleges